• 제목/요약/키워드: Voiding

검색결과 262건 처리시간 0.02초

한방 치료로 호전된 배뇨(排尿) 장애(障碍) 환자 치험 2례 (Two Cases of Voiding Problem Treated with Oriental Medicine)

  • 장명웅;권영주;조우근;정승현;배효상;임성우;이원철
    • 동의생리병리학회지
    • /
    • 제26권2호
    • /
    • pp.241-247
    • /
    • 2012
  • The purpose of this case study is to report the effect of electroacupuncture at acupoints Baliao (BL31 Shangliao, BL32 Ciliao, BL33 Zhongliao, BL34 Xialiao) on patients with voiding problem. Neurogenic Bladder can be classified according to whether impairment of urinary reservoir or emptying. The first case was a patient with urinary emptying impairment. He was diagnosed with areflexic neurogenic bladder, and was managed with suprapubic cystostomy. After starting of electroacupuncture on Baliao, residual urine volume was gradually decreased, at last cystostomy could be removed. The second case was a patient with urinary reservoir impairment. She complained symptoms of urinary frequency, nocturia due to overactive bladder. After starting of electroacupuncture on Baliao, urination frequency was significantly decreased. We consider electroacupuncture on Baliao may have a useful effect on voiding problem, both urinary reservoir and emptying impairment.

요류검사 시스템의 구현과 요류파라미터의 유용성 평가 (Implementation on the Uroflowmetry System and Usefulness Estimation of the Uroflow Parameters)

  • 한봉효;정도운;김우열;배진우;손정만;김재현;박준모;정문기;전계록
    • 대한전자공학회:학술대회논문집
    • /
    • 대한전자공학회 2002년도 하계종합학술대회 논문집(5)
    • /
    • pp.293-296
    • /
    • 2002
  • In this study, the object is a development on uroflowmetry system to detect a voiding symptom conveniently in home or hospital. The hardware was composed of mechanism and system circuit part, the software was divided into firmware and PC program part. The following experiment was performed to evaluate an ability of classification and fitness. First, the following parameters was calculated in each flow curve pattern. The parameters are MFR, AFR, VOL, VT, FT, and TMF. A significant difference among parameters was examined through a statistical analysis for extracted parameters between normal and abnormal group. In the next work, the following experimentation was performed to classify the voiding symptom. Analysis of congregate rate was examined to find out classification possibility about each symptom of BPH, voiding difficulty, detrusor failure and hyperreflexia, unstable bladder. The uroflow data with the above symptom was divided into normal and abnormal group using fuzzy classifier. and that was performed appending the other group again. Fuzzy classification result using MFR and AFR was superior by 89.6 % more than grouping evaluation including VOL.

  • PDF

Tc-99m MAG3 Scan의 배뇨 후 배설상으로 진단된 역류성 신병증 1례 (Reflux Nephropathy Detected by Post-voiding Image on Scintigraphic Tc-99m MAG3 Scan)

  • 김홍국;유재은;함주연;윤석남;배기수
    • Childhood Kidney Diseases
    • /
    • 제7권2호
    • /
    • pp.239-244
    • /
    • 2003
  • 저자들은 우측 옆구리 통증과 발열을 주소로 내원한 12년 8개월 된 여아에서 복부초음파 검사와 $^{99m}Tc-MAG3$ Scan의 후면 관류상 및 배뇨후 지연 배설상으로 진단된 중등급 이상의 방광요관역류와 동반된 역류성 신병증 증례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. 또한 요로 감염증 및 신병증이 있는 환아들의 경우 심한 역류와 역류성 신병증의 조기발견과 신속한 대처를 위해 고식적 검사와 배뇨 후 지연 배설영상검사를 시행하기에 앞서 비침습적인 $^{99m}Tc-MAG3$ Scan을 시행할 것을 제안하는 바이다.

  • PDF

뇌경색 이후 발생한 배뇨곤란 환자에 대한 당귀작약산 합 저령탕 치험 1례 (A Case Report of a Patient with Voiding Dysfunction Caused by Cerebral Infarction Treated with Dangguishaoyao-san-hap-Jeoryeong-tang)

  • 권선우;박충현;이지윤;윤혜수;이은창;손정민;권이재;이효정;이정은
    • 대한한방내과학회지
    • /
    • 제44권5호
    • /
    • pp.1041-1049
    • /
    • 2023
  • Objectives: The aim of this study is to describe the effects of treatment with traditional Korean medicine on a patient with voiding dysfunction caused by cerebral infarction. Methods: The patient was treated with herbal medicine, moxibustion, acupuncture, and electroacupuncture. The effects of these treatments were evaluated using the Korean version of the Modified Barthel Index and a post-void residual volume. Results: In this study, the Korean medicine Dangguishaoyao-san-hap-Jeoryeong-tang resulted in improvements in this patient with post-stroke urinary retention and successful removal of the indwelling catheter. Conclusion: The results suggest that traditional Korean medicine may be effective in ameliorating dysfunction caused by cerebral infarction.

항콜린제(옥시부티닌)가 원발성 방광요관역류의 자연 소실에 미치는 영향 (The Effect of an Anticholinergic Agent(Oxybutynin) on Spontaneous Resolution of Primary Vesicoureteral Reflux)

  • 안소현;심소연;이정원;조수진;이승주
    • Childhood Kidney Diseases
    • /
    • 제7권2호
    • /
    • pp.174-180
    • /
    • 2003
  • 목적 : 불안정 방광은 소아에서 원발성 방광 요관역류를 생성하고 지속시키는 원인으로 알려져 있다. 따라서 불안정 방광의 치료제인 항콜린제의 사용은 일차성 방광요관역류의 자연 소실율을 증가시킬 수 있으나 논쟁의 여지가 있어왔다. 저자들은 항콜린제인 옥시부티닌이 소변 가리기 훈련과 배뇨 증상이 각기 다른 소아에서 원발성 방광요관역류의 소실에 미치는 영향을 조사하고자 하였다. 방법 : 1996년 10월부터 2002년 4월까지 이화의대 목동병원에 요로 감염으로 입원한 후 방광요관역류가 발견되고 1년 후 추적 검사에서도 소실되지 않은 152명을 대상으로 하였다. 옥시부티닌군(59명)은 옥시부티닌과 trimethoprim-sulfamethoxazole을, 대조군(93명)은 trimethoprim-sulfamethoxazole만을 투약했다. 방광요관역류의 소실율을 나이, 소변 가리기 및 배뇨 장애 유무에 따라 구분하여 분석하였다. 통계 분석은 Chisquare test를 이용하였고 P-값이 0.05 미만을 유의한 것으로 간주하였다. 결과 : 방광요관역류의 변화는 옥시부티닌군(59명)에서 소실 49.2%, 호전 20.3%, 무변화 30.5%로 대조군(93명)의 45.2%, 16.1%, 38.7%와 비교해 유의한 차이는 없었다. 소변을 가리지 못하는 영유아에서 방광요관역류의 변화는 옥시부티닌군(34명)에서 소실 50.0%, 호전 23.5%, 무변화 26.5%로 대조군(52명)의 44.2%, 19.2%, 36.6%와 비교해 유의한 차이는 없었다. 소변을 가리는 소아에서 방광요관역류의 변화는 옥시부티닌군(25명)에서는 소실 48.0%, 호전 16.0%, 무변화 36.0%로 대조군(41명)의 46.3%, 12.2%, 41.5%와 비교해 유의한 차이는 없었다. 소변을 가리고 배뇨 장애도 없는 연장아에서 방광요관역류의 변화는 옥시부티닌군(9명)에서 소실 33.3%, 호전11.1%, 무변화 55.6%로 대조군(28명)의 53.6%, 10.7%, 35.7%와 비교해 유의한 차이는 없었다. 소변을 가리나 배뇨 장애를 보이는 연장아에서 방광요관역류의 변화는 옥시부티닌군(16명)에서는 소실 56.3%, 호전 18.7%, 무변화 25.0%로 대조군(13명)의 30.7%, 15.4%, 53.9%와 비교해 소실되는 경향이나 유의한 차이는 없었다. 결론 : 옥시부티닌은 소변 가리기나 배뇨 장애와 관계없이 모든 소아에서 역류의 소실율에 미치는 치료 효과가 없었다. 배뇨 장애를 보이는 연장아에서는 역류의 소실율이 약간 증가되는 경향이 있었으나 유의하지 않았다. 원발성 방광요관역류에서 옥시부티닌은 배뇨 장애를 보이는 일부 연장아에서 신중하게 사용되어져야 할 것으로 생각된다.

  • PDF

당뇨병성 방광병증으로 진단된 배뇨장애 환자 치험 1례 (A Case Study of a Patient Diagnosed as Diabetic Cystopathy with Dysuria)

  • 김미경;김보람;김용형;최동준;한창호;정승현;신길조;이원철
    • 대한한방내과학회지
    • /
    • 제29권4호
    • /
    • pp.1123-1129
    • /
    • 2008
  • There's a case of a 74-year-old male patient who was recommended urethral catheterization because of voiding problem which is diagnosed as diabetic cystopathy. According to the Differentiation of Symptoms(辨證), we classified his situation as kidney yang deficiency (腎陽虛衰), prescribed Uchasingi-hwan(牛車腎氣丸). and treated with moxibustion and electroacupuncture. After nine days of such treatments, he started voiding himself without catheterization, and the volume of residual urine decreased. So we report this case.

  • PDF

하부요로 폐색진단을 위한 비침습적 방광내압 계측 시스템의 구현 및 평가 (Implementation and estimation of the noninvasive vesical pressure measurement system for diagnosis of lower urinary tract symptom)

  • 정도운;전계록
    • 센서학회지
    • /
    • 제15권2호
    • /
    • pp.139-147
    • /
    • 2006
  • Lower urinary tract symptoms (LUTS) affect self-assessed quality of life. The prevalence of LUTS is commonly high in the elderly. The purpose of urodynamic investigation is to obtain information on the function of the urinary system. One of the most frequently used measurement procedures in urodynamics is filling and voiding cystometry. But in this system transurethral catheter is used and it makes patients uncomfortable. The aim of this study is to implement the system that could evaluate noninvasively the function of urinary tract. A new system has been developed to analyze urine flow rate and vesical pressure during voiding. These signals were recorded simultaneously and transmitted to a PC. For system evaluation, a model for the lower urinary system of men was constructed. From the evaluation of the model, vesical pressure was correlated with the occlusion degree. In a pilot study with five male subjects, maximum of standard deviation was 1.26, error rate was 3.49 and coefficient of variation was 3.48.

소양인 건선환자의 치험 1례 (A Clinical case study of Chronic Psoriasis in Shaoyangin patient)

  • 김경선;임은철;문성환;김경석;김은이
    • 사상체질의학회지
    • /
    • 제15권2호
    • /
    • pp.94-100
    • /
    • 2003
  • The purpose of this study is to give an account of the effects of the Korean herbal medicine therapy which is based on the Sasang constitutional medicine for the patient who has suffered from scale of both foot caused by chronic psoriasis. The subject is a 81-year old man who has the symptoms caused by lacunar infarction, which are both leg weakness, gait disturbance, dizziness, dysarthria, frequency voiding, and scale of both foot caused by chronic psoriasis. We have diagnosed him as Shaoyangin(少陽人), and have prescribed Yukmi jiwhangtang(六味地黃湯). The consequence is the accompanied scale of both foot, both leg weakness, gait disturbance, dizziness, frequency voiding and general condition has improved.

  • PDF

신경인성 방광 환자 치험 2례 (Clinical Report on the Patients Suffering from Neurogenical Bladder)

  • 유병찬;한영주;채은영;윤담희;이남헌;조충식;김철중;이지영
    • 대한한방내과학회지
    • /
    • 제25권3호
    • /
    • pp.677-683
    • /
    • 2004
  • The following case studies illustrate the application of oriental medical treatment of patients diagnosed with neurogenical bladder. The outstanding symptoms of two cases were general weakening and voiding difficulty, urinary retention and lack of urine sense. In one case, neurogenical bladder was caused by an operation on the femur, and in the other case, by diabetes and anemia. Western medical treatment didnot have any effect in these cases, but after oriental medical treatment, self-voiding was possible. These resu1t suggest that oriental treatment should be considered for patients with neurogenical bladder.

  • PDF

Improving the Neutronic Characteristics of a Boiling Water Reactor by Using Uranium Zirconium Hydride Fuel Instead of Uranium Dioxide Fuel

  • Galahom, Ahmed Abdelghafar
    • Nuclear Engineering and Technology
    • /
    • 제48권3호
    • /
    • pp.751-757
    • /
    • 2016
  • The present work discusses two different models of boiling water reactor (BWR) bundle to compare the neutronic characteristics of uranium dioxide ($UO_2$) and uranium zirconium hydride ($UZrH_{1.6}$) fuel. Each bundle consists of four assemblies. The BWR assembly fueled with $UO_2$ contains $8{\times}8$ fuel rods while that fueled with $UZrH_{1.6}$ contains $9{\times}9$ fuel rods. The Monte Carlo N-Particle Transport code, based on the Mont Carlo method, is used to design three dimensional models for BWR fuel bundles at typical operating temperatures and pressure conditions. These models are used to determine the multiplication factor, pin-by-pin power distribution, axial power distribution, thermal neutron flux distribution, and axial thermal neutron flux. The moderator and coolant (water) are permitted to boil within the BWR core forming steam bubbles, so it is important to calculate the reactivity effect of voiding at different values. It is found that the hydride fuel bundle design can be simplified by eliminating water rods and replacing the control blade with control rods. $UZrH_{1.6}$ fuel improves the performance of the BWR in different ways such as increasing the energy extracted per fuel assembly, reducing the uranium ore, and reducing the plutonium accumulated in the BWR through burnup.